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General NPI Number Information
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NPI Number | 1457240186
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Entity Type | Individual
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Provider Name | PETO CHOTI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2630 OLIVE HWY STE A
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City | OROVILLE
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State | CA
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Zip | 95966-6138
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Country | US
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Telephone | 530-534-6666
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Fax | 530-534-1040
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Provider Business Mailing Address
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Address Line | 3206 ROGUE RIVER DR
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City | CHICO
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State | CA
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Zip | 95973-9548
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Country | US
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Telephone | 530-605-6281
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 111833
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111833
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License Number State | CA
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